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Lesson Plan On Abortions: Submitted By-Ms Sneha Sehrawat Tutor
Lesson Plan On Abortions: Submitted By-Ms Sneha Sehrawat Tutor
Lesson Plan On Abortions: Submitted By-Ms Sneha Sehrawat Tutor
ABORTIONS
Submitted by- Ms
Sneha Sehrawat
Tutor
IDENTIFICATION DATA
CLASS:
SUBJECT: OBG
TOPIC: Abortions
GROUP:
SIZE OF THE GROUP:
DURATION: 1 hour
PLACE:
DATE:
TIME:
LANGUAGE: English
SUPERVISOR:
PREVIOUS KNOWLEDGE:
GENERAL OBJECTIVES
Able to critically analyze the existing practices in OBG nursing related to abortion.
Understand the use and assimilate this knowledge in future nursing practices.
o Inevitable
o Incomplete
o Complete
o Missed
o Septic
Enlist
Induced
different
o Legal types of
abortion.
o Illegal (criminal)
Investigation :
Ultrasonography (TVS/
Abdominal) :
Treatment :
Inevitable Abortion
Clinical Features :
What are
1. Amenorrhoea the signs
and
2. P/V bleeding
symptoms
3. Lower abdominal pain : related to
Aggravation of pain colicky in inevitable
nature. abortion?
4. P/V examination /Bleeding
Present (+)or (++) :
1. Correction of aneaemia
2. Correction of dehydration
3. To accelerate process of
expulsion
Treatment :
Complete abortion
Clinical Features :
1. Amenorrhoea
Bimanual examination :
2. Cervical os closed.
Management :
Incomplete abortion
Clinical features :
1. Amenorrhoea History of
Management :
1. Correction of anemia if
necessary.
2. Antibiotics.
4. Histopathological examination
of product of conception after
removed.
Missed abortion
Clinical features :
1. Amenorrhoea
3. Subsidence of pregnancy
symptoms.
Management :
What is
Less than 12 weeks-dilatation, the
evacuation & curettage. managem
ent of
More than 12 weeks-induction by
missed
1. Oxytocin abortion?
2. Prostaglandins
Definition :
Investigation
1. Occurrence of previous
abortions
2. Periods of amenorrhoea
Between pregnancies
What are
the signs
and
Septic Abortion symptoms
of septic
Definition: An abortion
complicated by infection abortion?
Abdominal pain
Fever
Tender uterus
Complications
Haemorrhage
Peritonitis
Septicemia
Septic/haemorrhagic shock
PID
Pelvic adhesions
2° Infertility
Chronic LAP
Management
1.Resuscitation
4. Monitor Input/output
6. Antibiotics: Preferably
cephalosporins, if not available
ampicilin and metronidazole
7. Evacuation
8. Haematenic
5 To enlist 1. Haemorrhage Teacher enlists
min various various complications
2. Septicaemia
complication related to abortions
s related to 3. Bacteraemia shock with rigors,
abortions nausea, vomiting, diarrhoea,
hypotension, confusion,
delirium and coma
4. Renal failure
5. Secondary
6. Infertility
7. Death
5 To Role of midwife during abortion:Teacher discusses the
min understand role o a midwife
The woman with abortion must
the role o a during abortion
midwife be admitted to gynaecological
during ward for close observation and
abortion
treatment
Conducting or associating or
helping to conduct Pre-Natal
Diagnostic tests for determining
the sex of the foetus.
Advertisement or
communication in any form in
print, by electronic media or
internet by units, medical
professionals or companies on
the availability of sex
determination and sex selection
in the form of services,
medicines, or any kind of
techniques.
i.Ethacridine lactate.
Ii.prostaglandin
Surgical methods
i.Aspirotomy
ii.Hysterotomy
iii.Hysterectomy
Abortion practices is
different in different
countries. Hence, a
midwife must learn
about different
practices and
legislation and her
responsibilities during
abortion to carry out
safe midwifery
practices.
BIBLIOGRAPHY
1.Women and health: today's
evidence, tomorrow's agenda.
Geneva: World Health
Organization; 2009.
2.Myers JE, Seif MW. Global
perspective of legal abortion –
trends, analysis and accessibility.
Best Practice and Research Clinical
Obstetrics and Gynaecology.
2010;24:457–466.